| A'nucare | |
|
110 Cherry St Darlington SC 29532-3904 | |
| (843) 968-3395 | |
| Not Available |
| Full Name | A'nucare |
|---|---|
| Speciality | Clinic/Center |
| Location | 110 Cherry St, Darlington, South Carolina |
| Authorized Official Name and Position | Karen Jackson Fulwood (PSYCHIATRIC NURSE PRACTITINER) |
| Authorized Official Contact | 5634958861 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A'nucare 110 Cherry St Darlington SC 29532-3904 Ph: (843) 968-3395 | A'nucare 110 Cherry St Darlington SC 29532-3904 Ph: (843) 968-3395 |
| NPI Number | 1568072601 |
|---|---|
| Provider Enumeration Date | 08/04/2020 |
| Last Update Date | 03/23/2023 |
| Certification Date | 03/23/2023 |
| Medicare PECOS PAC ID | 8527478411 |
|---|---|
| Medicare Enrollment ID | O20201104001314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568072601 | NPI | - | NPPES |
| PG0299 | Medicaid | SC |
| Provider Name | Karen J Fulwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164414520 PECOS PAC ID: 6608923578 Enrollment ID: I20141124000655 |
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